Mountain Spirit Healing Arts Center

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

1340 Issued in CO

Legal business name

MOUNTAIN SPIRIT HEALING ARTS CENTER

Practice address

713 3Rd Ave
Longmont, CO 80501-5926

Phone

(303) 772-6655

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Malin, RMTNPI 1760695928

Title

Owner/Massage Therapist

Phone

(303) 772-6655

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Woolley Malin, LMT

  • Massage Therapist
  • Longmont, CO
  • NPI 1760695928
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1619109113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 3RD AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 3RD AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015926",
            "telephone_number": "303-772-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPIRIT HEALING ARTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "MALIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "303-772-6655",
        "authorized_official_credential": "RMT"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CO",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Aaron Mortimore, D.O.
• Raeann R Mosqueda
• Jennifer Moss, M.D.
• Kaitlin M Mossberg, PA-C
• Mountain Smiles, PLLC (Pine Ridge Dental Group)
• Mountain Sprouts Speech Therapy, LLC
• Mountain States Pathology PC
• Mountain View Foot and Ankle Clinic PC
• Mountain West Dialysis Services LLC (Longmont Dialysis Center)
• Maryerin Mueller, LCSW

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.